90-768 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date9uh1 i 119 11
This is to certify that work requested to be done as shown by Permit No. 90-768
has been completed.
This structure may be occupied as a new foundation wall . front of bldg.
540 Bay Road
Location
DANA BALL
Owner
By Order Town Board
TOWN OF QUEENSBURY
•
Director of Bldg. do Code Enforcement
BUILDING PERMIT -�
: X
TOWN OF QUEENSBURY 90-768
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to DANA BALL O
OWNER of property located at 540 Bay Road Street,Road or Ave.
cri
in the Town of Queensbury,To Construct or place a Alteration to building
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
same
co
r—
r—
V
2. CONTRACTOR or BUILDER'S Name
Walter Ashline
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
t7o
su
5. ARCHITECT'S Address 0
6. TYPE of Construction—(Please indicate by X)
•
( )Wood Frame ( (Masonry ( )Steel ( )
7. PLANS and Specifications
No. Alteration to building to include replacing front foundation wall
as per plot plan, specifications and application.
8. Proposed Use
New foundation front wall
rD
$ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 7 19 91 c+
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
c+
0
Dated at the Town of Queensbury this 7th Day of November 19 90 ar
5.
SIGNED BY for the Town of Queensbury a
uilding and Zo Inspector
'OWN OF QUEENSBURY I OWN OF OUE
� REVIEWED B
RECEIVED BURY
.6
FEE PAID $ F L' NOV
2ego
g Awl PERMIT NO. CA J
Iffrime BLDG. &
CODE DEFT.
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
LL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
• • • • • • • • • • • • • • • • • • * * * • • • * • • • • • • • • • • • * • * • •
he owner of this property is: /14�� c/i2.17
.O. Address Tel.
roperty Location 1 90 gO-CJ Tax Map No. `7 S2/3/ 3S-
as there been anysplit of thisproperty since October 1, 1988? /
yes Planning Board Review is necessary. yes no
JBDIVISION NAME, IF APPLICABLE LOT NO.
IE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
w
IkTURE OF PROPOSED WORK: ESCIMATED MARKET VALUE OF
CONSTRUCTION: $ � /dO �— )'`
Construction of a new building *
_Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
r • Size of property p p ft x ft.
Alteration to a building , L61 * Existing Buildings(3) Size ft. x 7� ft.
(no change to exterior dimensions)
Proposed building - distance from property line:
_Other work (Describe) • Front yard Ic _O ft. Rear yard ft.
Side yards 30 ft. and ft.
•
LOSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Floor sq. ft. •
OCCUPANCY INFORMATION
*
2nd Floor sq. ft. * - Primary Building -
Other Floors • One Family Dwelling
sq. ft.
(not cellar or basement) • Two Family Dwelling
)TAL FLOOR AREA sq. ft. • Multiple Dwelling/Number of units
cosof new structure ft x ft. • Business
,undation-pier/slab/crawl/partial/full " Industrial
(circle one) • Other
i. of stories (habitable space)__ •
light (grade to ridge) ft. • If addition, what will use be?
residential, no. of families •
of rooms(excluding baths) •
Accessory Building
s. of bedrooms • _Detached Garage ONE/TWO Car
). of bathrooms •
imary heating system_ • _,_Attached Garage ONE/TWO Car
pe of fuel •
Private storage building
>. of fireplaces to be Installed •
• Other
ill a wood stove be installed •
antral Air conditioning
OV' ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc.
Will any second-hand or upgraded lumber be used? If so, for what?
Foundation wall material ,3f oe ,- Thickness /OK
Depth of foundation below grade (to bottom of footing) `7 /
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? Will any portion be used as living space?
(If so, what portion? • sq ft. Type of use?
Type of roof - sloped/flat/shed/other Material of roof
Size, wood studs "x " spacing " o.c. length ft.
Joists (floor beams) 1st floor "x " spacing "o.c. span ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish of what material?Interior wall finish
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
TAME OF BUILDER ADDRESS TEL. NO.
TAME OF PLUMBER ADDRESS TEL. NO.
TAME OF MASONri lodge ) ADDRESS TEL. NO.
TAME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
fans and specifications submitted, are a true and complete statement of all proposed work to be done on
to described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
I other laws pertaining to the proposed work shall be com lie th, w ther specified or not, and that
ich work Is authorized by the owner.
Signature ak
Owner, owner's agent, architect, contractor
PECIAL CONDITIONS OP THE PERMIT:
•
BY
kop TOWN OF QUEENSBURY
Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832
Building & Codes Department
��(�"?Th,a�
j� INSPECTOR'S REPORT
) �,� � 1 zi/b 0 .- 19 9/
PROPERTY LOCATIO
1 \ ..v /L
OWNER OR l'ENANT
BUILDING SEWAGE SIGN. OTHER
REMARKS:
jf
ff,
I
J%
I
CONTACT THIS OFFICE WITHIN
PECTOR
"HOME OF NATURAL BEAUTY. . .A GOOD PLACE TO LIVE"
SETTLED 1763
TOWN OF QUEENSBURY
531 AD
`#o QUEENSBURY,BAY NEWRYORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
111101111111111.1-
REQUEST FOR 1 NSPECTION RECEIVED
NAMESf IE,rt r c\
LOCATION ,__) �
DATE / '' PERMITS SO'7(('5'
TYPE OF STRUCTURE NI-, oue---1 I
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION; BACKFILL FRAMING
ROUGH PLURBING FI,NALELECTRICAL SEPTIC
iC
INSULATION WO0STOVE/FIREPLACE
TE PLAN/VARIAN(C
�E REQUIREMENTS YES NO
REMARKS �nC�Y Lf - Q ._S/ -
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION N/A,
B VENT/LOCATION
PLUMBING VENT t ✓
ROOFING /
SIDING
DECK/PORCH/STEPS/gAILI$GS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK V
INTERIOR TRIM/PRIVACY DOORS ✓
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE ''
OTHER FLOORS 'CARPETED .
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FAN
ALL PLUMBING.FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL %
OK TO ISSUE C/O OR C/C i/
COMMENTS:
ARRIVE /P/ 3b
DEPART ;$to
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT / •
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME erLc_._
LOCATION 2r40 T3i=t4 ` 0 jp
DATE 11124
2_(' l qo PERMIT #
l APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS /
FOUNDATION/DAMP-PROOFING
KBACKFILL APPROVAL fff///
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS.
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAMS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTIOk
FINAL APPROVAL OF CONSTRUCT 'ON
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
ARRIVEl
DEPART/ 404444__-
INS CTOR
(OAClemente
Latham North
--.A
Reed
lIs New
wtreet
Glens Fa
York 12801 c4
51k792-3502
q
t" .
_ 9111111 i 1111
.
:
flail--WALE-
vaik‘ t
1--:(
1\
,
EENssuRY
"IR FE CC:EVED
N c.11 I
NOV 21990
ti.20?—
BLDG. & CODE DEPT.
I/ 0
1 O VII CIS
I St 4
oza Qsz:
a'
<R.
il'0 6inl
P _
,
•
TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
compliance with our comments shall TOWN OF clUEFFISBURY
not be construed as indicating the
plans and specifications are in full B li -
C C.;r:--E3 DEPT.
- ,
compliance with the code. ?fi
REV i Ei\, L, ,i I' , /Z ,,/yog
DATE __„,